<%@ page language="java" contentType="text/html; charset=UTF-8"
	pageEncoding="UTF-8"%>
<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core"%>
<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>住院登记</title>
</head>
<body>
<form action="to_AddLiveInRecode" id="addLiveInForm" method="post">
	<table class="liveintable" style="width: 100%; padding: 5px 3px;">
		<tr>
			<td width="50%"><input style="width: 80%;" name="liveid8" id="liveAddInitID"
				class="easyui-textbox" label="住院号：" readonly="readonly"
				data-options="required:true"></td>
			<td width="50%"><input style="width: 80%;" name="livenoticid3" id="Returnlivenoticid3"
				class="easyui-textbox" label="住院通知号："
				data-options="buttonIcon:'icon-search',required:true
				,onClickButton:createQueryLiveInNoticWindow"></td>
		</tr>
		<tr>
			<td width="50%"><input  style="width: 80%;"  id="ReturncradId"
				class="easyui-textbox" label="诊疗卡号：" 
				data-options="required:true,buttonIcon:'icon-search',onClickButton:CreateWindowQueryMediaclQuery"></td>
			<td width="50%"><input  style="width: 80%;" name="mjnumber3" id="ReturnMZnumber"
				class="easyui-textbox" label="门/急诊号：" readonly="readonly"
				data-options="required:true"><input id="DisReturnMZnumber" type="hidden"></td>
		</tr>
		
		<tr>
		  <td width="50%"><input  style="width: 60%;" name="patientname8"  id="Returnpatientname8"
				class="easyui-textbox" label="病人姓名：" readonly="readonly"
				data-options="required:true"></td>
			<td width="50%"><input style="width: 60%;" name="mjdoctorname" id="Returnmjdoctorname"
				class="easyui-textbox" label="门/急诊医生：" readonly="readonly"
				data-options="required:true"></td>
		</tr>
		
		<tr>
			<td width="50%"><input style="width: 60%;" name="patientsex" id="Returnpatientsex"
				class="easyui-textbox" label="病人性别：" readonly="readonly"  
				data-options="required:true"></td>
			<td width="50%">
			
			<select class="easyui-combobox" label="住院科室:" name="liveoffice4" id="Returnliveoffice4"
				data-options="url:'to_QueryLiveOffice',valueField:'text',textField:'text',
				panelMaxHeight:'200px',panelHeight:'auto',width:'60%',required:true">
			</select>
			</td>
		</tr>
		<tr>
			<td width="50%"><input style="width: 60%;" name="patientage"  id="Returnpatientage"
				class="easyui-textbox" label="病人年龄：" readonly="readonly"
				data-options="required:true"></td>
			<td width="50%"><input style="width: 60%;" name="livedate"
				class="easyui-datebox" value="taday" label="住院日期："></td>
			

		</tr>
		
		<tr>
			<td width="50%"><input style="width: 60%;" class="easyui-textbox" name="idcard" id="Returnidcard"
			label="身份证号：" data-options="required:true" readonly="readonly"></td>
			<td width="50%"><input style="width: 60%;" name="familyname"
				class="easyui-textbox" label="亲属姓名：" data-options="required:true"></td>
		</tr>
		<tr>
			<td width="50%"><input style="width: 60%;" name="patienttel"
				class="easyui-textbox" label="联系电话:"
				data-options="required:true"></td>
			<td width="50%"><input style="width: 60%;" name="familyrelation"
				class="easyui-textbox" label="亲属关系：" data-options="required:true"></td>
		</tr>
		<tr>
			<td width="50%"><input style="width: 60%;" id="liveInAddStaffname"
				class="easyui-textbox" data-options="buttonIcon:'icon-search',
				onClickButton:createWindowQueryLiveDoctor,required:true"
				label="主治医生:"><input type="hidden" id="liveInAddStaffID"></td>
			<td width="50%"><input style="width: 60%;" name="familytel"
				class="easyui-textbox" label="亲属电话："
				data-options="required:true,validType: 'phone'"></td>
		</tr>
		<tr>
			<td width="50%"><input style="width: 60%;" name="livetypename"
				class="easyui-combobox" data-options="required:true,panelHeight:'auto',
				url:'to_AllLiveType',valueField:'livetypename',textField:'livetypename'"  label="住院类型:"></td>
			<td width="50%"><input style="width: 60%;"  id="liveInAddDeposit"
				class="easyui-textbox" label="住院押金：" value="2000.00" readonly="readonly"
				data-options="required:true"></td>
		</tr>

		<tr>
		
			<td width="50%"><input style="width: 80%;" class="easyui-textbox" name="patientloc"  id="Returnpatientloc"
				label="家庭地址：" data-options="required:true" ></td>
	
				<td width="50%" ><input style="width: 35%;" name="BEDID" id="ReturnBuildName"
				class="easyui-textbox" data-options="required:true" label="选择病床："><input id="ReturnFloorName"
				style="width: 14%;" data-options="required:true" class="easyui-textbox"><input id="ReturnRoomName"
				style="width: 14%;" data-options="required:true" class="easyui-textbox"><input id="ReturnBedName"
				style="width: 17%;" class="easyui-textbox" 
				data-options="buttonIcon:'icon-search',required:true,onClickButton:CreateWindowQuerySickRoom">
				<input type="hidden"  id="ReturnBedDisplayID"></td>
		</tr>
	</table>
</form>
	<style type="text/css">
.liveintable td {
	padding: 3px 1px;
}
</style>
</body>
</html>